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WALMART PHARMACY 10-5169
CAH431336-00 SANFORD VERMILLION MEDICAL CENTER
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Covered Entity Details
Entity Name
SANFORD VERMILLION MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431336-00
Entity Address
20 S. PLUM ST
VERMILLION, SD 57069
Medicare Provider Number
431336
Participating Start Date
9/1/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
4/20/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eric Lucas Vanden Hull, Vice President of Finance - Sioux Falls HSD
(712) 261-5275
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/20/2023
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